What is ABN CMS-R-131?

First adopted by the OMB on 3/1/2011, OMB # 0938-0566. This form is issued by providers to Original Medicare (FFS Medicare) beneficiaries when it is believed that Medicare shall deny payment. To see the full information, you need only download the CMS PDF below or visit CMS’s website at this link:

https://www.cms.gov/medicare/forms-notices/beneficiary-notices-initiative/ffs-abn#:~:text=The%20Advance%20Beneficiary%20Notice%20of,payment%20is%20expected%20to%20be

Correct Coding and Billing to avoid compliance issues

If you’re going to elect to go the beneficiary route it is vital that your claims is completely correct with every last code you would have billed Medicare for. Yes Mediciare might have denied it but the combination of medical codes you would have submitted should be the same you bill to the beneficiary. 

To gain higher approvals and compliance, you should consider iVECoder® to help with this process. Click the button below to watch the video on our amazing software.